Evidence map›Paper›PMID 41165177›Full record

ArticleCentral European journal of public health2025

Inequalities in cervical cancer screening use: results of the Serbian National Health Survey.

Dragana Milijašević, Tatjana Tamaš, Sonja Čanković, Snežana Ukropina, Sonja Šušnjević, Tanja Tomašević, Dušan Čanković, Vesna Mijatović Jovanović

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Article in Central European journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

8 authors.

Dragana MilijaševićFaculty of Medicine, University of Novi Sad, Autonomous Province of Vojvodina, Novi Sad, Serbia.
Tatjana TamašFaculty of Medicine, University of Novi Sad, Autonomous Province of Vojvodina, Novi Sad, Serbia.
Sonja ČankovićFaculty of Medicine, University of Novi Sad, Autonomous Province of Vojvodina, Novi Sad, Serbia.
Snežana UkropinaFaculty of Medicine, University of Novi Sad, Autonomous Province of Vojvodina, Novi Sad, Serbia.
Sonja ŠušnjevićHealth Care District of Palm Beach County, West Palm Beach, Florida, United States of America.
Tanja TomaševićFaculty of Medicine, University of Novi Sad, Autonomous Province of Vojvodina, Novi Sad, Serbia.
Dušan ČankovićFaculty of Medicine, University of Novi Sad, Autonomous Province of Vojvodina, Novi Sad, Serbia.
Vesna Mijatović JovanovićFaculty of Medicine, University of Novi Sad, Autonomous Province of Vojvodina, Novi Sad, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCervical cancer represents a significant public health concern worldwide, particularly among women of reproductive age. According to data from the Cancer Registry of the Republic of Serbia for the year 2022, cervical cancer is the fourth most common cancer in women, with an age-standardized incidence rate (ASIR) of 24.8/100,000 and the fourth leading cause of mortality, with an age-standardized mortality rate (ASMR) of 10.2/100,000. This study aimed to analyse the association between socio-demographic factors, unmet healthcare needs, and cervical cancer screening use among women in Serbia.

methodsResearch was conducted as a cross-sectional study on a sample of 3,980 women aged 25-64 in Serbia. Three types of questionnaires were used as a research instrument. The association of missed cervical smear tests in the last 3 years with independent variables was examined by univariate and binary logistic regression model.

resultsAccording to socio-demographic characteristics, the likelihood of missing a cervical smear test in the last 3 years increased with age, being highest among older women (OR = 1.91, 95% CI: 1.88-1.94), lower-income categories (OR = 1.76, 95% CI: 1.74-1.78), and women with the lowest levels of education (OR = 1.49, 95% CI: 1.47-1.52). The logistic regression model revealed significant territorial disparities, with the highest predicted probability for women from South and East Serbia (OR = 1.73, 95% CI: 1.70-1.76). Additionally, distance/transportation and financial constraints were significantly associated with missed cervical smear tests in the last 3 years (OR = 2.05, 95% CI: 1.99-2.11; OR = 1.10, 95% CI: 1.08-1.12, respectively).

conclusionsSocioeconomic disparities in cervical cancer screening remain a challenge. This study highlights the need to allocate resources to areas in need of improvement and also to conduct comprehensive evaluations of screening systems, which can lead to significant reductions in cervical cancer incidence and mortality.

Indexed as

Early Detection of CancerHealthcare DisparitiesUterine Cervical NeoplasmsAdultCross-Sectional StudiesFemaleHealth SurveysHumansMiddle AgedSerbiaSocioeconomic Factorsassessment of healthcare needscancer screeninghealthcare inequalitiesPap testwomen

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PMID41165177

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